工伤理赔主管

Our Story
Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

Davies Claims North America is seeking an experienced Claims Supervisor to lead a team of Workers’ Compensation professionals, including Adjusters, Nurse Case Managers, and Claims Assistants. This role is responsible for ensuring high-quality claim handling, regulatory compliance, client satisfaction, and team performance while fostering a culture of collaboration, accountability, and continuous development.The ideal candidate will bring strong technical Workers’ Compensation expertise, demonstrated leadership experience, and the ability to mentor and develop claims professionals while maintaining a client-focused approach.Key Responsibilities

Leadership & Team Management

• Supervise and support Workers’ Compensation Adjusters, Nurse Case Managers, and Claims Assistants.

• Provide coaching, mentoring, and technical guidance to team members.

• Assist in training, onboarding, and professional development efforts.

• Identify performance gaps and develop action plans to improve employee performance and productivity.

• Conduct regular team meetings and participate in leadership meetings.

• Promote a positive, collaborative, and high-performing team environment.

• Assist with interviewing and evaluating candidates for open positions.

Claims Oversight & Technical Leadership

• Review new claim assignments for coverage concerns, compensability issues, recovery opportunities, and potential claim exposures.

• Ensure claims are managed in accordance with client requirements, company standards, and applicable Workers’ Compensation statutes and regulations.

• Monitor claim handling activities, including:
• Compensability investigations

• Medical management and treatment plans

• Return-to-work coordination

• Reserve adequacy

• Indemnity and medical payments

• Litigation management

• Subrogation and excess recovery opportunities

• Timely reporting and regulatory compliance

• Provide guidance on complex claims, litigated matters, settlements, and large-loss exposures.

• Ensure timely escalation of significant claim concerns and client issues.

Client Relationship Management

• Maintain regular communication with assigned clients and stakeholders.

• Participate in client meetings, claim reviews, and stewardship discussions.

• Address client concerns and identify opportunities to improve service delivery.

• Ensure claim handling aligns with client-specific instructions and expectations.

• Maintain documentation of client communications and account activities.

Compliance & Quality Assurance

• Monitor claim quality, service standards, and workflow performance.

• Ensure accurate and timely completion of required state filings and documentation.

• Review claim files for adherence to regulatory requirements, company best practices, and client guidelines.

• Partner with Quality Assurance and leadership teams to identify trends and implement process improvements.

• Assist in maintaining claim closure and performance goals across the team.

Operational Support

• Coordinate workload distribution and coverage during employee absences.

• Assist with staffing needs and resource planning.

• Escalate personnel, client, or operational concerns to senior leadership as appropriate.

• Support special projects and other duties as assigned.

Skills, knowledge & expertise

• 5+ years of Workers’ Compensation claims handling experience required.

• Prior supervisory, team lead, or mentoring experience strongly preferred.

• Extensive knowledge of Workers’ Compensation statutes, regulations, claims practices, and case law.

• Strong understanding of compensability investigations, medical management, return-to-work programs, litigation management, and settlement strategies.

• Experience reviewing reserves and managing claim performance metrics.

• Excellent leadership, coaching, and employee development skills.

• Strong verbal and written communication abilities.

• Exceptional organizational, analytical, and problem-solving skills.

• Ability to manage multiple priorities in a fast-paced environment.

• Demonstrated commitment to client service and operational excellence.

• Proficiency with claims management systems and Microsoft Office applications, including Outlook, Excel, and Word.

• Ability to maintain confidentiality and exercise sound judgment.

Equal Employment Opportunity & Legal Notices

Benefits

At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and vision plans to support your health and that of your family

• A 401(k) plan with employer matching

• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees

• Paid holidays

• Life insurance and short‑term and long‑term disability coverage

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

Background Check & Fair Chance Compliance

Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.

Massachusetts NoticeIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at

Originally posted on Himalayas